NPI 1033218581

Charla V Johnson, PAC

Practitioner Medical Physician Assistant Stockbridge, GA

Practice location

Address: 950 Eagles Landing Pkwy Suite 212, Stockbridge, GA 30281-7343
Phone: (404) 307-3062

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 003556 (GA)

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Registry record

NPI: 1033218581
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 26 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.